2016-2017 Newman Registration
Registration Status *
Last Name *
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First Name *
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Cell Phone #
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Email *
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Birthdate *
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Gender *
Parent's Names
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Permanent Address
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City
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State, Zip
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Permanent Phone
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Parent's Email
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Home Parish Name
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Home Parish City
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Diocese
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School *
I Am A *
Graduation Year *
Year In School *
Major
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Sacramental Prep
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